Diyabet Bakımında Ebeveyn İzleminin Adölesanlarda Tedaviye Uyum Ve Metabolik Parametrelere Etkisi

Abstract

Giriş ve Amaç: Çalışma, diyabet bakımında ebeveyn izlemenin ergenlerde tedaviye ve metabolik parametrelere uyum üzerindeki etkisini belirlemek amacıyla yapıldı. Gereç ve Yöntem: Çalışma Gaziantep Çocuk Hastanesi Endokrinoloji Polikliniğinde takip edilen 132 Tip 1 diyabetli ergenin yanı sıra ebeveynleri ile yürütüldü. Veriler Ekim 2016 and Mayıs 2017 tarihleri arasında toplandı. Verilerin toplanmasında“ “Kişisel Özellikler İçin Bilgi Formu” ve “Ebeveyn İzleme Ölçeği” kullanıldı. Verilerin istatistiksel analizi için SPSS 21.0 paket yazılımı kullanıldı. Araştırmanın yürütülmesi için etik kurul ve kurum izni alınmıştır. Bulgular: Çalışmaya katılan ergenlerin %65,9'unun erkek, %81,1'inin HbA1c düzeyi ≥7,5, %43,4'ünün açlık glikoz düzeyi ≥ 180 ve Ebeveyn İzleme Ölçeği puan ortalamalarının 108,20± 19.55 olduğu tespit edildi. Kadınların HbA1c değerlerinin erkeklerin HbA1c değerlerinden düşük olduğu belirlenmiştir (p <0.01). Annenin eğitim durumu HbA1c değerleri üzerinde anlamlı bir etkiye sahipti (p <0.01). Sonuç: Ebeveyn bakımının adölesanlarda metabolik parametreler üzerinde önemli etkisinin olduğu sonucuna varılmıştır.

Keywords

• Type 1 Diabetes,
• Adolescent,
• Metabolic Parameters,
• Parental monitoring

The Effect of Parental Monitoring in Diabetes Care on Compliance to Treatment and Metabolic Parameters in Adolescents

Abstract

Purpose: The study was conducted to determine the effect of parental monitoring in diabetes care on compliance to treatment and metabolic parameters in adolescents. Material and Method: The study consisted of adolescents with Type 1 diabetes followed up in Endocrinology Outpatient Clinic of Gaziantep Children's Hospital. 132 diabetic adolescents who met the study inclusion criteria and were followed up in Endocrinology Outpatient Clinic as well as their parents were included in the study. In order to collect the data, “Information Form for Personal Characteristics” and “Parental Monitoring Scale in Diabetes Care of Adolescents with Type 1 diabetes” were used. SPSS 21.0 packaged software was used for statistical analysis of the data. Results: It was found that 65.9% of the adolescents participating in the study were male, 81.1% had poor HbA1c levels of ≥7.5, 43.4% had poor fasting glucose levels of ≥ 180 and above and their mean scores of Parental Monitoring Scale were 108.20±19.55. It was determined that HbA1c values of the women were lower than HbA1c values of the men (p<0.01). Birth place of adolescents and parents’ educational levels had a significant effect on scale mean scores(p<0.01). Mother’s education status had a significant effect on HbA1c values (p<0.01). Conclusion: It was concluded that the HbA1c values and mean AG level were high, there was a significant correlation between age and PMDC mean scores, between gender and HbA1c values and AG level and the birth places of adolescents had a significant effect on PMDC mean scores of the parents and HbA1c values.

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